早期肠内营养支持在危重症病人中的应用

Applicntion of early enteral nutrition support in critically ill patients

目的:探讨早期肠内营养(EEN)支持在危重症病人中的应用效果。方法:将ICU中65例危重症病人随机分为EEN组(35例)和肠外营养(PN)组(30例),并将营养支持情况进行对比分析。结果:经EEN支持后血清清蛋白(ALB)和血红蛋白(Hb)较治疗前升高(P<0.05),而经PN支持后各指标差异无显著性意义。两组对比EEN组病人ALB高于PN组(P<0.05)。EEN组在肱三头肌皮皱厚度(TSF)和上臂肌围(AMC)与PN组无显著性差异(P>0.05),在Hb及氮平衡方面则明显优于PN组(P<0.05)。结论:对于危重症病人,EEN较PN有更好的营养效果和代谢效应。

Objective ：To investigate the effect of early enteral nutrition （EEN） on nutritional state and metabolism in the critically ill patients. Methods：65 patients who had been in intensive care unit （ICU） were randomly divided into 2 groups：one group （n = 35 ） as EEN group, another group （n = 30 ） as parenteral nutrition （PN） group. The results of nutrition support were analysed. Results： It was found that serum albumin and hemoglobin were elevated （ P 〈 0.05 ） in patients with EEN. The dif erences were observed between the two groups. Compared with PN group, the change of TSF and AMC in the EEN group was not different with that in the PN group（ P 〉 0. 05 ）. Conclusion： Early enteral nutrition support has better nutritional effect in critically ill patients.